Systematic review of the management of incontinence and promotion of continence in older people in care homes: Descriptive studies with urinary incontinence as primary focus

Journal of Advanced Nursing

Volumn 67, Issue 2, 2011, Pages 228-250

  Roe, Brenda ^a,b   Flanagan, Lisa ^a,c   Jack, Barbara ^a,d   Barrett, James ^a   Chung, Alan ^e   Shaw, Christine ^f   Williams, Kate ^g  

^a EDGE HILL UNIVERSITY   (United Kingdom)

^b UNIVERSITY OF MANCHESTER   (United Kingdom)

^c ROYAL LIVERPOOL AND BROADGREEN UNIVERSITY HOSPITALS NHS TRUST   (United Kingdom)

^d WIRRAL UNIVERSITY TEACHING HOSPITAL   (United Kingdom)

^e NHS Direct   (United Kingdom)

^f UNIVERSITY OF GLAMORGAN   (United Kingdom)

^g UNIVERSITY OF LEICESTER   (United Kingdom)

Author keywords

Care homes; Incontinence; Nursing; Older people; Systematic review

Indexed keywords

AGE; AGED; ATTITUDE TO HEALTH; CHILD REARING; DAILY LIFE ACTIVITY; DIAPER; ECONOMICS; FECES INCONTINENCE; FEMALE; HEALTH PROMOTION; HOME FOR THE AGED; HUMAN; MALE; MEDICAL RECORD; NURSING ASSESSMENT; NURSING RESEARCH; ORGANIZATION AND MANAGEMENT; PATIENT CARE PLANNING; PRACTICE GUIDELINE; PREVALENCE; REVIEW; STANDARD; URINE INCONTINENCE; UTILIZATION REVIEW;

ACTIVITIES OF DAILY LIVING; AGE FACTORS; AGED; AGED, 80 AND OVER; FECAL INCONTINENCE; FEMALE; HEALTH KNOWLEDGE, ATTITUDES, PRACTICE; HEALTH PROMOTION; HOMES FOR THE AGED; HUMANS; INCONTINENCE PADS; MALE; MEDICAL RECORDS; NURSING ASSESSMENT; NURSING RESEARCH; PATIENT CARE PLANNING; PRACTICE GUIDELINES AS TOPIC; PREVALENCE; TOILET TRAINING; URINARY INCONTINENCE;

EID: 78651434633     PISSN: 03092402     EISSN: 13652648     Source Type: Journal    
DOI: 10.1111/j.1365-2648.2010.05481.x     Document Type: Review

References (41)

1. Abrams P., Cardozo L., Khoury S. & Wein A. (2009) Fourth WHO-ICS International Consultation on Incontinence. Health Publications Ltd, Plymouth.
2. Button D., Roe B., Webb C., Frith T., Colin Thome D. & Gardner L. (1998) Consensus guidelines for the promotion and management of continence by primary health care teams: development, implementation and evaluation. Journal of Advanced Nursing 27, 91-99.
3. Colling J., Ouslander J., Hadley B.J., Eisch J. & Campbell E. (1992) The effect of Patterned Urge Response Toileting (PURT) on urinary incontinence among nursing home residents. Journal of the American Geriatrics Society 40(2), 135-141.
4. DH (2000) Good Practice in Continence Service. Department of Health, London. Retrieved from on 28 March 2008.
5. DH (2001) National Service Framework for Older People. Department of Health, London. p. 23.
6. Downs S.H. & Black N. (1998) The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and non-randomised studies of health care interventions. Journal of Epidemiology and Community Health 52, 377-384.
7. DuBeau C.E., Simon S.E. & Morris J.N. (1999) The impact of urinary incontinence and changing continence status on QOL in nursing home residents. Neurourology and Urodynamics 18(4), 389-390.
8. DuBeau C.E., Simon S.E. & Morris J.N. (2006) The effect of urinary incontinence on quality of life in older nursing home residents. Journal of the American Geriatrics Society 54(9), 1325-1333.
9. Eustice S., Roe B. & Paterson J. (2000) Prompted voiding for the management of urinary incontinence in adults. Cochrane Database of Systematic Reviews (2). CD002113. DOI: .
10. Fantl J.A., Newman D.K., Colling J., DeLancey J.O.L., Keeys C., Loughery R., McDowell B.J., Norton P., Ouslander J., Schnelle H.J., Staskin D., Tries J., Urich V., Vitousek S.H., Weiss B.D. & Whitmore K. (1996) Urinary Incontinence in Adults: Acute and Chronic Management: Clinical Practice Guideline. No. 2 Update. Agency for Health Care Quality and Research, Rockville.
11. Fonda D., DuBeau C.E., Harari D., Ouslander J.G., Palmer M. & Roe B. (2005) Incontinence in the frail elderly. InThird International Consultation on Incontinence, 26-29 June 2004 Monaco, Chapter 18 (Abrams P., Cardozo L., Khoury S. & Wein A., eds), Health Publication Ltd, Plymbridge Distribution Ltd, Plymouth, pp. 1165-1239.
12. Grant A.M., Cody D.J., Glazener C.M.A., Hay-Smith J., Herbison P., Lapitan M.C., Moore K.N., Norton C., Wallace S.A. & Wilson P.D. (eds) (2006) Incontinence Group. About The Cochrane Collaboration (Cochrane Review Groups (CRGs) 2000, Issue 4. Retrieved from on 2 May 2006.
13. Jumadilova Z., Zyczynski T., Paul B. & Narayanan M. (2005) Urinary incontinence in nursing home: resident characteristics and prevalence of treatment. American Journal of Managed Care 11, S112-S120.
14. Kmet L.M., Lee R.C. & Cook L.S. (2004) Standard Quality Assessment Criteria for Evaluating Primary Research Papers from a Variety of Fields. HTA Initiative #13. The Alberta Heritage Foundation for Medical Research, Edmonton, AB. Retrieved from on 11 October 2010.
15. McGrother C.M., Donaldson M., Wagg M., Matharu G., Willliams K.S. & Watson J.M. (2003) Healthcare Needs Assessment: The Epidemiologically Based Needs Assessment Reviews. Radcliffe Medical Press Ltd, Abingdon.
16. Moher D., Liberati A., Tetzlaff J., Altman D.G. & The PRISMA Group (2009) Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PloS Medicine 6(7), e1000097. Retrieved from on 24 September 2009.
17. NICE (2006) Urinary Incontinence: The Management of Urinary Incontinence in Women. NICE Clinical Guideline, 40. National Institute for Health and Clinical Excellence, London.
18. NICE (2007) Faecal Incontinence. NICE Guideline CG49. National Institute for Health and Clinical Excellence, London.
19. Ostaszkiewicz J., Johnson L. & Roe B. (2004a) Timed Voiding for Urinary Incontinence in Adults. Cochrane Database of Systematic Reviews, Issue 1. John Wiley and Sons Ltd, Chichester.
20. Ostaszkiewicz J., Johnson L. & Roe B. (2004b) Habit Training for Urinary Incontinence in Adults (Cochrane Review). The Cochrane Library, Issue 2. Update Software. John Wiley and Sons Ltd, Chichester.
21. Ostaszkiewicz J., Roe B. & Johnson L. (2005) Effects of timed voiding for the management of urinary incontinence in adults: systematic review. Journal of Advanced Nursing 52(4), 420-431.
22. Ouslander J.G., Kane R.L. & Abrass I.B. (1982) Urinary incontinence in elderly nursing home patients. Journal of the American Medical Association 248(10), 1194-1198.
23. Ouslander J.G. & Kane R.L. (1984) The costs of urinary incontinence in nursing homes. Medical Care 22(1), 69-79.
24. Ouslander J.G., Schnelle J.F., Uman G., Fingold S., Nigam J., Tuico E. & Bates-Jenson B. (1995) Predictors of successful prompted voiding among incontinent nursing home residents. Journal of the American Medical Association 273(17), 366-1370.
25. Palmer M.H., German P.S. & Ouslander J.G. (1991) Risk factors for urinary incontinence one year after nursing home admission. Research in Nursing & Health 14(1), 405-412.
26. Paterson B.L., Thorne S.E., Canam C. & Jillings C. (2001) Meta-Study of Qualitative Health Research. A Practical Guide to Meta-Analysis and Meta-Synthesis. Sage Publications, London.
27. Peet S.M., Castleden C.M., McGrother C.W. & Dufin H.M. (1996) The management of urinary incontinence in residential and nursing homes for older people. Age and Ageing 25(2), 139-143.
28. Rawlins M.D. (2008) On the Evidence for Decisions about the Use of Therapeutic Interventions. The Harevian Oration. Royal College of Physicians, London, p. 2; pp. 19-20.
29. Robinson J.P. (2000) Managing urinary incontinence in the nursing home: residents' perspectives. Journal of Advanced Nursing 31(1), 68-77.
30. Roe B., Milne J., Ostaszkiewicz J. & Wallace S. (2007a) Systematic reviews of bladder training and voiding programmes in adults: a synopsis of findings on theory and methods using metastudy techniques. Journal of Advanced Nursing 57(1), 3-14.
31. Roe B., Ostaszkiewicz J., Milne J. & Wallace S. (2007b) Systematic reviews of bladder training and voiding programmes in adults: a synopsis of findings from data analysis and outcomes using metastudy techniques. Journal of Advanced Nursing 57(1), 15-31.
32. Schnelle J.F., Alessi C.A., Simmons S.F., Al-Samarrai N.R., Beck J.C. & Ouslander J.G. (2002) Translating clinical research into practice: a randomised controlled trial of exercise and incontinence care with nursing home residents. Journal of the American Geriatrics Society 50, 1476-1483.
33. Schnelle J.F., Traughber B., Sowell V.A., Newman D.R., Petrilli C.O. & Ory M. (1989) Prompted voiding treatment of urinary incontinence in nursing home patients: a behavior management approach for nursing home staff. Journal of the American Geriatrics Society 37(11), 1051-1057.
34. Schnelle J.F., Sowell V.A., Traughber B. & Hu T.W. (1988) A behavioural analysis of the labour cost of managing continence and incontinence in nursing home patients. Journal of Organisational Behaviour Management 9(2), 137-153.
35. Sgadari A., Topinkova E., Bjornson J. & Bernabei R. (1997) Urinary incontinence in nursing home residents: a cross national comparison. Age and Ageing 26(Suppl. 2), 49-54.
36. Shaw C., McNamara R., Abrams K., Cannings-John R., Hood K., Longo M., Myles S., O'Mahony S., Roe B. & Williams K. (2009) Systematic review of respite care in the frail elderly. Health Technology Assessment 13, 20. Retrieved from on 11 October 2010.
37. Wagg A., Mian S., Lowe D., Potter J. & Pearson M. (2005) National audit of continence care for older people: results of a pilot study. Journal of Evaluation in Clinical Practice 11(6), 525-532.
38. Wagg A., Potter J., Peel P., Irwin P., Lowe D. & Pearson M. (2007) National audit of continence care for older people: management of urinary incontinence. Age and Ageing 37, 39-44.
39. Potter J., Peel P., Mian S., Lowe D., Irwin P., Pearson M. & Wagg A. (2007) National audit of continence care for older people: management of faecal incontinence. Age and Ageing 36, 268-273.
40. Wallace S.A., Roe B., Williams K. & Palmer M. (2004) Bladder training for urinary incontinence in adults. Cochrane Database of Systematic Reviews (1). CD001308. DOI: .
41. Watson N.M., Brink C.A., Zimmer J.G. & Mayer R.T. (2003) Use of the agency for health care policy and research urinary incontinence guideline in nursing homes. Journal of the American Geriatrics Society 51, 1779-1786.